Resumen

HIRALDA MARTINEZ, Jorge Luis; PEREZ PUPO, Annarelis  y  VELAZQUEZ GONZALEZ, Verónica Aleyda. Incidence of Cesarean Section in Patients of Vladimir Ilich Lenin Hospital of Holguín. ccm [online]. 2015, vol.19, n.4, pp. 615-627. ISSN 1560-4381.

Introduction: the increasing cesarean section rates constitute a health problem to a worldwide scale. In Cuba, the institutional data coming from demographic and health surveys point out to a percentage of cesarean sections superior to 20%, since the beginnings of the XXI century.  This tendency has been accentuated during the last years. Objective: to determine the incidence of cesarean sections in the Vladimir Ilich Lenin General Teaching Hospital of Holguín.  Method: a descriptive, retrospective study whose universe was made up of 29 299 deliveries at the maternity service of Vladimir Ilich Lenin General Teaching Hospital was conducted from January to December 2013 aimed at determining the incidence of delivery through cesarean section (C-section). The sample comprised 11 726 deliveries by C-section. The eutocic /instrumental deliveries and the C-sections performed before the 28 weeks of gestation with nonviable fetuses were excluded from the sample. Results: the frequency of C-sections predominated in 2013 with a total of 3 034 cases, at the expense of 2148 primitive C-sections (70.8 %). The incidence of C-sections showed a linear growing trend comparing to 2010, due to the increase of primitive C-sections. The main indication for C-section was acute fetal distress with 3 009 cases (36.09%). The gestational age that predominated was 37-41. There was a greater number of pregnant women with infections accounting for 300 cases (54.95%). Conclusions: the rate of cesarean section incidence showed an increase in the period under study; however, maternal morbidity was low. The greater number of C-sections was performed between 37 and 41 weeks of gestational age.

Palabras clave : cesarean section; morbidity; incidence.

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